Diseases of children for nurses . with a handkerchief. Clearthe mouth of mucus by inserting the forefinger as far 422 DISEASES OF CHILDREN FOR NURSES as possible and bringing up the froth with a scoopingmotion. Sylvesters Method.—Stand or kneel behind the headof the child. Bend its arms so that the hands meet onthe chest, grasp the childs forearms firmly, as close aspossible to the elbows, i. Firmly press the childs elbowsagainst the sides of the body, so as to force the air out ofthe lungs. 2. Raise the arms slowly, with a sweepingmotion, until the childs hands meet above (or behind) itshead.
Diseases of children for nurses . with a handkerchief. Clearthe mouth of mucus by inserting the forefinger as far 422 DISEASES OF CHILDREN FOR NURSES as possible and bringing up the froth with a scoopingmotion. Sylvesters Method.—Stand or kneel behind the headof the child. Bend its arms so that the hands meet onthe chest, grasp the childs forearms firmly, as close aspossible to the elbows, i. Firmly press the childs elbowsagainst the sides of the body, so as to force the air out ofthe lungs. 2. Raise the arms slowly, with a sweepingmotion, until the childs hands meet above (or behind) itshead. 3. While the arms are extended in a line with thebody, give them a slow, strong pull, until the chest isfully expanded. 4. Bring the arms, with bent elbows,down against the sides and press them firmly, as before. This action should be continued about fifteen times aminute until the child begins to breathe. Care must beexercised against a tendency to make these motions toofast; they must be done slowly. A good plan is to count. Fig 105.—Resuscitation after drowning: second movement (J. P. C. Griffith). four slowly—one, as the pressure is made on the sidesof the chest; two, as the arms are being extended abovethe head; three, as the strong pull is given; and four,when the arms are again being bent and returned to the side. THERAPEUTICS 423 Do not let the hands on the forearm slip away fromthe elbows; the best results are obtained with the handsin this position. The operator must appreciate the fact that this manipu-lation must be executed with methodic deliberation, justas described, and never hurriedly or half-heartedly. Tograsp the arms and move them rapidly up and down likea pump-handle is both absurd and absolutely useless. Each time the arms are extended above the head thetongue should be drawn outward and downward. Thechest should be slapped from time to time with a wettowel, and the extremities vigorously rubbed. After the child has responded to treatment stimulatei
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